Discharge Care Manager RN - Telecommute in NJ, PA, IN or IL Only
Company: UnitedHealth Group
Location: San Jose
Posted on: June 26, 2022
Job Description:
Combine two of the fastest-growing fields on the planet with a
culture of performance, collaboration and opportunity and this is
what you get. Leading edge technology in an industry that's
improving the lives of millions. Here, innovation isn't about
another gadget, it's about making health care data available
wherever and whenever people need it, safely and reliably. There's
no room for error. Join us and start doing -your life's best
work.(sm) Put your skills and talents to work in an effort that is
seriously shaping the way health care services are delivered. - As
a Discharge Care Manager at UnitedHealth Group, you will be
responsible for implementing day-to-day telephonic case management
interventions for identified high risk members. This means you will
be tasked with assessing and interpreting member needs and
identifying solutions that will help our members live healthier
lives. This is an inspiring job at a truly inspired organization.
The Discharge Care Manager (DCM) will coordinate and document the
discharge plan in collaboration with other key clinical care team
members. The DCM will also follow the member while in the acute
inpatient setting. If you are located in the Eastern Time Zone, you
will have the flexibility to telecommute* as you take on some tough
challenges. Primary Responsibilities:
- Evaluation of member discharge needs including delays in care
and readmission prevention plan
- Collaboration with providers and members to coordinate care
post discharge
- Participate in rounds with the Medical Director to discuss
cases as needed
- Identification of internal or community-based program support
or resources
- Coordination with the facility Discharge Planner to ensure post
hospital services are arranged prior to the member being
discharged
- Assist with coordination of difficult cases needing placement
in an alternate level of care facility
- Documentation of discharge activities as outlined in standard
operating procedures and data entry strategies
- Participate in team meetings, education discussions and related
activities
- Works collaboratively with team members in a matrix environment
to ensure an end-to-end positive experience for members, providers
and care teams You'll be rewarded and recognized for your
performance in an environment that will challenge you and give you
clear direction on what it takes to succeed in your role as well as
provide development for other roles you may be interested in.
Required Qualifications: - - - - -
- Bachelor of Science in Nursing -
- Current, unrestricted RN license in the state of Residence
- 3+ years of recent experience in the inpatient acute
setting
- 3+ years of experience of discharge planning
- Proficient in typing skills and software applications that
includes, but is not limited to, Microsoft Word, Microsoft Excel,
Microsoft PowerPoint and Microsoft Outlook
- Experience working with multiple health insurance products
(i.e. Medicaid, Medicare, Commercial) within the insurance
industry, including regulatory and compliance requirements
Preferred Qualifications: - - - - -
- Case management certification
- InterQual/MCG Guidelines or other nationally recognized
practice guidelines
- Bilingual
- Demonstrated ability to assist with focusing activities toward
a strategic direction as well as develop tactical plans, drive
performance, and achieve targets
- Problem solving skills; the ability to systematically analyze
problems, draw relevant conclusions and devise appropriate courses
of action
- Excellent verbal and written communication skills; ability to
speak clearly and concisely, conveying complex or technical
information in a manner that others can understand, as well as
ability to understand and interpret complex information from
others
- Ability to build and maintain relationships will be
essential
- Full COVID-19 vaccination is an essential job function of this
role. Candidates located in states that mandate COVID-19 booster
doses must also comply with those state requirements. UnitedHealth
Group will adhere to all federal, state and local regulations as
well as all client requirements and will obtain necessary proof of
vaccination, and boosters when applicable, prior to employment to
ensure compliance. Candidates must be able to perform all essential
job functions with or without reasonable accommodation To protect
the health and safety of our workforce, patients and communities we
serve, UnitedHealth Group and its affiliate companies require all
employees to disclose COVID-19 vaccination status prior to
beginning employment. In addition, some roles and locations require
full COVID-19 vaccination, including boosters, as an essential job
function. UnitedHealth Group adheres to all federal, state and
local COVID-19 vaccination regulations as well as all client
COVID-19 vaccination requirements and will obtain the necessary
information from candidates prior to employment to ensure
compliance. Candidates must be able to perform all essential job
functions with or without reasonable accommodation. Failure to meet
the vaccination requirement may result in rescission of an
employment offer or termination of employment Careers with Optum.
Here's the idea. We built an entire organization around one giant
objective; make health care work better for everyone. So when it
comes to how we use the world's large accumulation of
health-related information, or guide health and lifestyle choices
or manage pharmacy benefits for millions, our first goal is to leap
beyond the status quo and uncover new ways to serve. Optum, part of
the UnitedHealth Group family of businesses, brings together some
of the greatest minds and most advanced ideas on where health care
has to go in order to reach its fullest potential. For you, that
means working on high performance teams against sophisticated
challenges that matter. Optum, incredible ideas in one incredible
company and a singular opportunity to do -your life's best
work.(sm) Colorado, Connecticut or Nevada Residents Only: -The
salary range for Colorado residents is $54,400 to $97,000. The
salary range for Connecticut / Nevada residents is $60,000 to
$106,700. Pay is based on several factors including but not limited
to education, work experience, certifications, etc. In addition to
your salary, UnitedHealth Group offers benefits such as, a
comprehensive benefits package, incentive and recognition programs,
equity stock purchase and 401k contribution (all benefits are
subject to eligibility requirements). No matter where or when you
begin a career with UnitedHealth Group, you'll find a far-reaching
choice of benefits and incentives. *All Telecommuters will be
required to adhere to UnitedHealth Group's Telecommuter Policy.
Diversity creates a healthier atmosphere: UnitedHealth Group is an
Equal Employment Opportunity/Affirmative Action employer and all
qualified applicants will receive consideration for employment
without regard to race, color, religion, sex, age, national origin,
protected veteran status, disability status, sexual orientation,
gender identity or expression, marital status, genetic information,
or any other characteristic protected by law. UnitedHealth Group is
a drug - free workplace. Candidates are required to pass a drug
test before beginning employment.
Keywords: UnitedHealth Group, San Jose , Discharge Care Manager RN - Telecommute in NJ, PA, IN or IL Only, Healthcare , San Jose, California
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